[Suprafascial dissection of the radial forearm flap].

INTRODUCTION

The aim of this study was to assess the efficacy of dissection of radial forearm flap in a superficial plan above the deep fascia to prevent donor site problems.

PATIENTS AND

METHODS

Eighteen radial forearm flaps were used for orofacial reconstruction: 11 suprafascial flaps and seven infrafascial flaps. We compared in the two groups: flap failure, graft success, tendon adhesions, sensory nerve damage at donor site.

RESULTS

We observed one case of flap failure in the infrafascial group and one case in the suprafascial group. With suprafascial elevation flap technique, we noted 100% of grafts integration without tendon adhesion. In infrafascial elevation flap technique, four out of seven patients had delayed healing.

DISCUSSION: The suprafascial dissection of free radial forearm flap creates a superior graft recipient bed ensuring early and complete successful graft.